A Community-Based Intervention Designed to Increase Preventive Health Care Seeking Among Adolescents: The Gonorrhea Community Action Project

VanDevanter, Nancy; Messeri, Peter; Middlestadt, Susan E.; Bleakley, Amy; Merzel, Cheryl; Hogben, Matthew; Ledsky, Rebecca; Malotte, C. Kevin; Cohall, Renee; Gift, Thomas L.; Lawrence, Janet S. St.

doi:10.2105/ajph.2003.028357

Cited by 27 publications

(17 citation statements)

References 14 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Given that girls and boys differentially engage in sexual risk behaviors that contribute to adverse outcomes such as HIV, other STIs, and unintended pregnancy and utilize sexual and reproductive healthcare at different rates, factors associated with HIV testing are also likely to differ across gender. 9,16 …”

mentioning

confidence: 99%

Prevalence and Correlates of HIV Testing Among Sexually Active African American Adolescents in 4 US Cities

Swenson

Rizzo

Brown

et al. 2009

Sexually Transmitted Diseases

View full text Add to dashboard Cite

Background Routine HIV testing is recommended for all adolescents ages 13 years and older. This study aims to report the prevalence of HIV testing among African American adolescents, describe characteristics of adolescents who have been tested, and identify potentially modifiable factors associated with greater likelihood of testing across gender. Methods African American adolescents ages 13 to 18 were recruited from community-based outreach in four U.S. cities. Present analyses include sexually active participants (N = 990; 52.3% female). Results Twenty-nine percent of adolescents had ever been tested for HIV. In a multivariate logistic regression adjusted for significant demographics, the strongest predictor of HIV testing among girls was prior STI testing (OR = 88.39) followed by pregnancy (OR = 2.75), risk reduction self-efficacy (OR = 2.28), and STI knowledge (OR = 2.25). Among boys, having had an STI test (OR = 38.09), having talked about testing with partners (OR = 3.49), and less religiosity (OR = 2.07) were associated with HIV testing. Conclusions African Americans adolescents are disproportionately at risk for HIV/AIDS, yet less than one-third of participants reported being tested. Those receiving sexual or reproductive healthcare services were most likely to be tested, but many teens at risk for HIV do not seek available services and others may face barriers to accessing healthcare. Findings provide support for increasing school-based educational programs due to the low rates of STI/HIV knowledge among teens. Additionally, culturally-sensitive programs promoting HIV testing among teens should foster skill-building for preventive behaviors and increase partner communication about testing.

show abstract

mentioning

confidence: 99%

Prevalence and Correlates of HIV Testing Among Sexually Active African American Adolescents in 4 US Cities

Swenson

Rizzo

Brown

et al. 2009

Sexually Transmitted Diseases

View full text Add to dashboard Cite

show abstract

“…The body of knowledge on risky sexual behavior among male adolescents clearly demonstrates that adolescent males, particularly minority male adolescents, need access to reproductive healthcare, yet American adolescents are less likely to seek and receive health care than individuals in any other age group (Ma, Wang, & Stafford, 2005;VanDevanter et al, 2005). Compared to their female peers, male adolescents are less likely to receive routine primary care, disease screenings and pregnancy prevention services (Brindis et al, 1998;Division of STD Prevention, 2000;MacKay, Fingerhut, & Duran, 2000;VanDevanter, et al, 2005).…”

mentioning

confidence: 99%

“…Compared to their female peers, male adolescents are less likely to receive routine primary care, disease screenings and pregnancy prevention services (Brindis et al, 1998;Division of STD Prevention, 2000;MacKay, Fingerhut, & Duran, 2000;VanDevanter, et al, 2005). An analysis of national health service utilization data shows that adolescents (ages 13-18) and young adults (ages 19-24) have the lowest number of healthcare visits per year, compared to all other age groups, and that minority males adolescents are even less likely than other adolescents to receive health services (Ma, Wang, & Stafford, 2005).…”

mentioning

confidence: 99%

Barriers to Sexual and Reproductive Health Care: Urban Male Adolescents Speak Out

Lindberg

Lewis-Spruill

Crownover³

2006

Issues in Comprehensive Pediatric Nursing

View full text Add to dashboard Cite

Providers should focus on improving the quality of care in existing clinics, particularly in the areas of access, privacy, and confidentiality, and on developing adolescent-friendly clinics focusing on male services. Adolescents should be encouraged to visit clinics prior to an acute need for services. There also is a need for providers who are comfortable with and able to communicate with male adolescents.

show abstract

“…Notably, adolescents who seek sexual health care through a primary care physician may also receive less comprehensive sexual health care. 18 Men experiencing STI symptoms may also be more likely to seek care at a clinic (e.g., public health STD clinics). Clinics also may reduce or eliminate a number of barriers to accessing care, including concerns about billing or parental notification.…”

Section: Discussionmentioning

confidence: 99%

“…Lindberg et al 15 suggest that for young males accessing sexual health care is a “stressful experience fraught with both internal and external barriers.” For YMSM, these obstacles may include financial and economic barriers at the individual or system level, 16–18 a lack of relevant sexual health education and knowledge 19 , stigma, homophobia, and provider cultural competence, 17,18 and concerns about confidentiality and privacy. 15,18 As YMSM have the highest rate of STIs and concomitantly are the least likely to receive sexual health care, a more nuanced understanding of YMSM sexual health care is of paramount importance.…”

Section: Introductionmentioning

confidence: 99%

Sexual Health Screening Among Racially/Ethnically Diverse Young Gay, Bisexual, and Other Men Who Have Sex With Men

Siconolfi

Kapadia

Halkitis

et al. 2013

Journal of Adolescent Health

View full text Add to dashboard Cite

Purpose Screening for sexually transmitted infections is a crucial element of improving health and reducing disparities, and young men who have sex with men (YMSM) face high rates of both STIs and HIV. We examined sexual health screening among a diverse sample of adolescent YMSM living in New York City. Methods Between 2009 – 2011, cross-sectional data were collected from 590 YMSM in New York City. Separate multivariable logistic regression models were used to assess the relationship between sociodemographic, psychosocial, and health and healthcare related factors and two main outcomes: having sought a recent sexual health screening (past 6 months) and having a rectal sexual health screening (lifetime). Results Overall, 46% reported a sexual health screening in the prior 6 months, but only 16% reported ever having a rectal screening for STIs. Rates were higher among ethnic minority YMSM and men who accessed care at clinics. Multivariable results indicated that gay community affiliation, recent unprotected anal sex, and number of lifetime male partners were also associated with seeking a recent screening. Conclusions Though half of the sample reported recent general screening, rates of lifetime rectal screening are low. Efforts to increase screening may focus on improving provider knowledge and guideline adherence, and educating and encouraging YMSM to access sexual health check-ups.

show abstract

A Community-Based Intervention Designed to Increase Preventive Health Care Seeking Among Adolescents: The Gonorrhea Community Action Project

Abstract: This theory-driven, community-based group intervention significantly increased preventive health care seeking among female adolescents. Further research is needed, however, to identify interventions that will produce successful outcomes among male adolescents.

Cited by 27 publications

References 14 publications

Prevalence and Correlates of HIV Testing Among Sexually Active African American Adolescents in 4 US Cities

Prevalence and Correlates of HIV Testing Among Sexually Active African American Adolescents in 4 US Cities

Barriers to Sexual and Reproductive Health Care: Urban Male Adolescents Speak Out

Sexual Health Screening Among Racially/Ethnically Diverse Young Gay, Bisexual, and Other Men Who Have Sex With Men

Contact Info

Product

Resources

About